DR. KENNETH APOLLO MUSANA MD
NPI 1952401697
Internal Medicine - Gastroenterology in Lynchburg, VA

Active since September 23, 2006PECOS EnrolledAccepts Medicare Assignment
121 NATIONWIDE DR, LYNCHBURG, VA 24502(434) 384-1862(434) 384-7704 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2022, Aug 26, 2022 (2 updates tracked since 2022).

About Dr. Kenneth Apollo Musana Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH APOLLO MUSANA MD (NPI 1952401697) is an individual gastroenterology provider in Lynchburg, Virginia, licensed in Delaware (C10025179) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1952401697
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KENNETH APOLLO MUSANACredential: MD
Location Address121 NATIONWIDE DRLynchburg, VA 24502-4272
Mailing Address742 South Governors Ave, Ste 3Dover, DE 19904-4111 · (302) 678-5008 · Fax (302) 678-5505
Fax(434) 384-7704
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2012
Enumeration DateSeptember 23, 2006
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
NPI 1952401697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in DE · C10025179 Licensed in VA · 0101243775
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 44975 (WI), 0101243775 (VA)
121 NATIONWIDE DR, Lynchburg, VA 24502

Secondary Practice Location 1

Location 1742 South Governors Ave, Ste 3Dover, DE 19904-4111 · Phone (302) 678-5008 · Fax (302) 678-5505

Other Identifiers 1

Medicaid34589400WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Apollo Musana Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42272270
PECOS Enrollment IDI20090330000689
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
152 services142 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
110 services107 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
102 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services78 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
63 services62 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
61 services61 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Clinch Valley Medical Center

Acute Care Hospitals · Richlands, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490060
Location6801 Governor Gc Perry HighwayRichlands, VA 24641 · Tazewell County
Emergency services Birthing friendly

Centra Bedford Memorial Hospital

Acute Care Hospitals · Bedford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490088
Location1613 Oakwood StreetBedford, VA 24523 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
121 NATIONWIDE DR, SUITE A
LYNCHBURG, VA 24502
Internal Medicine (Gastroenterology)
121 NATIONWIDE DR
LYNCHBURG, VA 24502
Nurse Practitioner
121 NATIONWIDE DR, SUITE A
LYNCHBURG, VA 24502
Internal Medicine (Gastroenterology)
121 NATIONWIDE DR, SUITE A
LYNCHBURG, VA 24502
Nurse Practitioner (Family)
121 NATIONWIDE DR, SUITE A
LYNCHBURG, VA 24502
Nurse Practitioner (Family)
121 NATIONWIDE DR, SUITE A
LYNCHBURG, VA 24502
Internal Medicine (Gastroenterology)
121 NATIONWIDE DR
LYNCHBURG, VA 24502
Nurse Practitioner (Family)
121 NATIONWIDE DR, SUITE A
LYNCHBURG, VA 24502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Musana's NPI number?

The NPI number for Kenneth Musana is 1952401697. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Kenneth Musana located?

Kenneth Musana practices at 121 Nationwide Dr, Lynchburg, VA 24502. The listed phone number is (434) 384-1862.

What is Kenneth Musana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kenneth Musana enrolled in Medicare?

Yes. Kenneth Musana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kenneth Musana affiliated with any hospitals?

According to CMS data, Kenneth Musana is affiliated with Centra Health - Lynchburg Gen Hospital, Clinch Valley Medical Center and Centra Bedford Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Musana was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.